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Individual

DR. HARVEY JAMES ROEDER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1401 SE WALTON BLVD, 113, BENTONVILLE, AR 72712-3759
(479) 254-3999
(479) 254-3998
Mailing address
5802 S 67TH ST, CAVE SPRINGS, AR 72718-8460
(479) 254-3999
(479) 254-3998

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15720
AR
171100000X
Acupuncturist
15720
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ACUPUNCTURE
STATE BOARD OF CHIROPRACTIC EXAMINERS
AR
Enumeration date
08/30/2010
Last updated
03/07/2024
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